Eye Center Boutique is a medicare enrolled "Eyewear Supplier" provider in Miami, Florida. Their current practice location is
8888 Sw 136th St Ste 140, Miami, Florida. You can reach out to their office (for appointments etc.) via phone at
(787) 672-4833.
Eye Center Boutique is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Eye Center Boutique
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1942919386.
Healthcare Provider's Profile
| Full Name | Eye Center Boutique |
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| Type | Facility |
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| Speciality | Eyewear Supplier |
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| Location | 8888 Sw 136th St Ste 140, Miami, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1942919386
- Provider Enumeration Date: 11/15/2022
- Last Update Date: 03/21/2023
Medicare PECOS Information:
- PECOS PAC ID: 9234595786
- Enrollment ID: O20230525002099
Medical Identifiers
Medical identifiers for Eye Center Boutique such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1942919386 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 332H00000X | Eyewear Supplier | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Eye Center Boutique acts as a billing entity for following providers:
| Provider Name | Sheryl Reaves |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1023301280
PECOS PAC ID: 7315194826
Enrollment ID: I20150213000305 |
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| Provider Name | Nicholas Barlas |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1346919743
PECOS PAC ID: 3779953187
Enrollment ID: I20230530002887 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Eye Center Boutique is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Eye Center Boutique
385 Calle San Claudio,
San Juan, PR 00926-4251
Ph: (787) 672-4833 | Eye Center Boutique
8888 Sw 136th St Ste 140,
Miami, FL 33176-5870
Ph: (787) 672-4833 |
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